# FULLY OPEN MRI OF RANCHO BERNARDO LLC DBA POMERADO IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pomerado Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689635971
- **Authorized official:** DR. ANDREW D POLANSKY M.D. (MANAGING MEMBER)
- **Authorized official phone:** (760) 520-8500

## Contact information

- **Practice address:** 15725 POMERADO RD, SUITE 109, POWAY, CA 92064-2068
- **Practice address phone:** (858) 485-6094
- **Practice address fax:** (858) 485-6059
- **Mailing address:** PO BOX 460875, ESCONDIDO, CA 92046-0875
- **Mailing address phone:** (760) 520-8500
- **Mailing address fax:** (760) 520-8523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 3184 | CA | Yes |
| 261QR0200X | Radiology Clinic/Center | 3184 | CA | — |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 12/19/2007